MICHAEL S HICKEY – Physician Assistant, NPI 1003568130

MICHAEL S HICKEY is a healthcare provider. based in Fraser, Colorado. specializing in PHYSICIAN ASSISTANT. They hold a License No. PA.0008980 (CO). The NPI Number for MICHAEL S HICKEY is 1003568130

Main info

Male
3 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL S HICKEY
NPI
1003568130
Phone
(970) 364-2071
Address
45 County Road 804
Enumeration Date
20 January 2022
Last Update Date
1 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9708249411
Graduation Year
2023 (3 years ago)
PAC ID
2860935467
Group Practice PAC ID
1254231533
Professional Enrollment ID
I20251007002278
Address ID
CO816258750CR750XXLOOP300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness85
Years active:4State licenses:1Digital endpointsOther names

4,161 PHYSICIAN ASSISTANT in CO

Provider Addresses for MICHAEL S HICKEY

  • 45 County Road 804

    Fraser, CO 804425001

    Phone: (970) 364-2071

    Type: Location

  • 318 TOMPKINS ST

    OLEAN, NY 147602734

    Phone: (713) 816-8581

    Type: Mailing

  • 705 MARKETPLACE PLZ STE 200

    SUITE 200

    STEAMBOAT SPRINGS, CO 804871841

    Phone: (970) 879-6663

    Fax: (970) 871-1234

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-10-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240624004834IPhysician AssistantNYTBD
I20250324002133IPhysician AssistantCOTBD
I20251007002278IPhysician AssistantWYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 80442)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1254231533View full group profile
NameSpecialtyState
General SurgeryWI
Physician AssistantCO
-CO
-CO
Physician AssistantNV
Clinical Social WorkerCO
Family PracticeCO
-CO
Physician AssistantOK
Family PracticeCO

Reviews

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Frequently asked questions

Does MICHAEL S HICKEY share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MICHAEL S HICKEY uses 1003568130.
Does CMS list MICHAEL S HICKEY as active?
Yes — MICHAEL S HICKEY is active in the NPI listing used on this page.
What is MICHAEL S HICKEY's primary classification?
Physician Assistant is the headline specialty for MICHAEL S HICKEY here. Clinical services aligned with this taxonomy classification.
Where is MICHAEL S HICKEY based?
MICHAEL S HICKEY is tied to Fraser, Colorado in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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